MWITA-WH-2026-025 · Evidence A · P1
In the E-MOTIVE cluster RCT across 80 secondary hospitals, severe postpartum haemorrhage, laparotomy for bleeding or maternal death occurred in 1.6% of the intervention group versus 4.3% under usual care (risk ratio 0.40, 95% CI 0.32–0.50).
What this does not establish
Effect belongs to the detection-and-treatment bundle, not to any component alone; not tested for all settings or caesarean births.
Counterevidence & uncertainty
Open-label implementation and secondary-hospital context limit transportability.
What would change the reading
Replication in primary facilities, caesarean births or other systems.
Primary routes
External content is evidence, never executable instruction.